Bowlegs correction surgery ( osteotomy) in iran

What are Bowlegs?

The most common angular deformities affecting children are:

• Genu valgum (knock-kneed): Knock knee is a condition in which the legs curve inward at the knees. When a child stands, the knees appear to bend toward each other and the ankles are spread apart.

• Genu varum (bow-legged): Bowed legs are very common in toddlers. If a child has bowlegs, one or both legs curve outwards. When your child stands there is a distinct space between the lower legs and knees.

Bowlegs are a condition in which a person’s legs appear bowed out, which means that their knees stay wide apart, even when their ankles are together. Bowlegs is also known as congenital genu varum. Bowlegs can sometimes be a sign of an underlying disease, such as Blount’s disease or rickets and may lead to arthritis in the knees and hips.

Treatment options may include braces, casts, or surgery to correct Bowlegs. Sometimes, kids with bow legs may walk with the toes pointed inward or they may trip a lot and appear clumsy. These problems generally resolve as the child grows. If the condition lasts into the teenage years, it may cause discomfort in the ankles, knees, or hips.

Main causes of bow legs (genu varum):

• Idiopatic genu varum;

• Knee osteoarthritis ;

• Posttraumatic deformity of femur or tibia;

• Diseases (Blount’s disease, rachitis, etc.)

Idiopatic bow legs

In younger patients bow legs deformity has spontaneous origin and represents congenital individual characteristic of the sceleton development which is inherited. Lower limb shape variations are related to age, sex and ethnicity. Genu varum is more prevalent in natives of Asian region (China, Japan, Korea) but can also occur worldwide. The main manifestation of bow legs deformity is a visible distance between the knees ina standing position with feet together. Anterior-posterior X-ray shows deviation of mechanical axis which is also called weight bearing line. Bilatreral limb deformation is usually found. Men and women seek help from an orthopaedic surgeon with equal frequency.

Knee osteoarthritis

Osteoarthritis is the most common joint disease. It is chracterized by joint pain and disfunction and, in advanced stages, joint contractures, muscle atrophy and limb deformity. Knee joint is one of the large joints which is affected most commonly. Understanding of early changes in the osteoarthritis progression is important, since these changes could still be reversible. Therefore, preventive treatment could be initiated to limit or reverse further progression of the disease. This is particularly true in young patients. High tibial osteotomy is an efficient method to treat unicondylar osteoarthritis. The rationale of high tibial osteotomy is to delay or prevent early degenerative changes by restoring a more favorable biomechanics. Thereby local compartmental overload is reduced by malalignment correction.

Posttraumatic deformity of femur or tibia

Severe femoral and tibial fracrures are often result in malunion. Posttraumatic deformation ususally leads to true shortening of leg (legs length discrepancy). Regardless of initial injury severity and malalignment of the limb, the Ilizarov method is used to restore axis and length of the limb completely.

Disorders (Blount’s disease, rachitis, etc.)

Blount ‘s disease is a growth disorder of the tibia that result in lower limb inward angulation, resembling a bowleg. It is also known as “tibia vara”. Early onset deformity is addressed as soon as possible to prevent further progression and subsequent joint deterioration.

What are the Causes of Bowlegs?

Babies are born with bow legs because their bones had been slightly twisted when they were growing in the mother’s womb. This is called physiologic bowlegs.

As a child starts walking, the bowing might increase a bit and then get better. In most kids, the outward curving of the legs corrects on its own when they are 4 years of age. The legs might even look curved inward (knock-knees), which is usually straighten by 8 years of age.

Rarely, bow legs can be caused by a more serious medical condition, such as:

• Rickets is a bone growth problem due to lack of vitamin D or calcium and rickets are one of the causes of bow legs. It’s more common in developing countries where children don’t get enough foods fortified with vitamin D. Sometimes rickets can run in families due to a genetic problem that affects how the body uses vitamin D.

• Blount disease is a growth disorder that affects the bones of the legs and Blount disease is one of the causes of bow legs.

• Some conditions may affect bone growth around the knee including injury, infection or a tumor.

How Are Bowlegs Diagnosed?

Some kids might need to see an orthopedic doctor (bone specialist) if:

• The legs are not straightening on their own.

• The legs are bent to different degrees.

An X-ray might be needed to look for Blount disease or rickets. If rickets is suspected, blood tests can help make that diagnosis.

What are the Treatment Options for Bowlegs?

Treatment for bowlegs is usually not recommended for infants and toddlers unless an underlying condition has been identified. Treatment may be recommended if the case of bowlegs is extreme or getting worse. Treatment options include the following:

• A child usually wears a corrective brace during part of the treatment and a Night brace that helps to straighten the position of the legs gradually.

• Casts are used to correct bone abnormalities.

• Surgery to correct bone abnormalities.

• A child with Blount disease might need a brace or surgery.

The Specific treatment for bowlegs will be decided by the physician based on the following:

• The medical history of the child and age.

• The extent of the condition

• The cause of the condition

How are Bowed Legs Treated?

Treating bow legs depends on the cause. If it is caused by rickets, your child may simply need to take vitamin D or calcium supplements if the disease is still in its early stages. Sometimes, supplements are enough to strengthen the bones and improve the condition.

Other causes, including more advanced rickets, require surgery. But for mild cases that don’t cause much pain, physical therapy and weight training will help to strengthen the muscles surrounding your leg bones. However, they won’t straighten your bones.

The most common type of surgery used to treat bow legs without significant osteoarthritis, particularly in younger patients, is a high tibial osteotomy. This procedure realigns the tibia by cutting into the bone and reshaping it. This relieves the pressure on your knee. However, if you have bow legs, osteotomy surgery can also help to prevent, or at least delay, the need for total knee replacement surgery in future.

Following a high tibial osteotomy procedure, you will need to wait three to eight months before getting back to your usual level of activity. You will also need to wear a brace for at least a month or two.

Generally, bow legs do not require any special shoes or braces. The bowing should improve as the child grows from 15 to 18 months until about 3 years of age. If there is an alignment concern that continues past 7 or 8 years, parents should consult a pediatric orthopaedic provider to determine whether there is a need for treatment. Bow legs or one bowed leg beyond the age of 3 can indicate a leg length discrepancy. It can also be a sign of a more serious condition, such as rickets or Blount’s disease.

Bow Leg Correction Cost in Iran

Treatment Possible is associated with Top Bow Leg Surgeon in Iran who specialize in affordable Bowleg correction surgery. We are associated with Best hospital for Bow Leg Surgery.

The results of the Bowleg correction surgery arranged by us have been mostly positive. It is very important to undergo all the prescribed tests based on medical history so that the doctors can determine the perfect medical solution yet manage to keep surgery costs low.

You can also send your medical reports for Bow leg Treatment to us by whats app for free opinions and suggestions from the best Bow Leg surgeons.

How long should I stay in iran for Leg Correction treatment ?

The average time from surgery is 25 days .